Get the free Customer Self-Exclusion Form

Delaware North Companies Gaming & Entertainment, Inc. Customer SelfExclusion Form Full Name:SS#:Street Address:Date of Birth:City:State:Zip Code:Cell Phone:Alternate Phone:Drivers License # & State:Height:Weight:Hair:Eyes:Sex:Any

How to fill out customer self-exclusion form

How to fill out customer self-exclusion form

1. Obtain the customer self-exclusion form from the relevant organization or website.
2. Fill in your personal details such as name, address, and contact information.
3. Indicate the duration of self-exclusion you wish to apply for.
4. Provide any additional information required regarding your gambling habits or reasons for self-exclusion.
5. Sign and date the form to verify the information provided.
6. Submit the completed form as per the instructions (online, in-person, or by mail).
7. Keep a copy of the submitted form for your records.

Who needs customer self-exclusion form?

1. Individuals who feel they have a gambling problem.
2. People who want to take a break from gambling.
3. Those wishing to prevent themselves from gambling at specific venues or online platforms.
4. Gamblers seeking assistance in managing their gambling behavior.

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What is customer self-exclusion form?

A customer self-exclusion form is a document that allows individuals to voluntarily ban themselves from gambling activities and establishments for a specified period of time.

Who is required to file customer self-exclusion form?

Individuals who wish to limit their gambling activities due to concerns about problem gambling or addiction are required to file a customer self-exclusion form.

How to fill out customer self-exclusion form?

To fill out a customer self-exclusion form, individuals typically need to provide personal information such as name, address, date of birth, and specify the duration of the self-exclusion.

What is the purpose of customer self-exclusion form?

The purpose of the customer self-exclusion form is to help individuals take proactive steps to manage their gambling behavior and protect themselves from potential harm.

What information must be reported on customer self-exclusion form?

The information that must be reported on a customer self-exclusion form includes personal identification details, the reason for self-exclusion, and the selected duration of the ban.